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General NPI Number Information
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NPI Number | 1912648684
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Entity Type | Individual
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Provider Name | JUAN CARLOS ESPINOSA MD
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Gender | Male
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 04/05/2022
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Provider Practice Location Address
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Address Line | 1000 W CARSON ST # 492
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City | TORRANCE
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State | CA
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Zip | 90502-2004
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Country | US
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Telephone | 424-306-7659
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Fax | 424-306-6633
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Provider Business Mailing Address
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Address Line | 6709 MARCELLE ST
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City | PARAMOUNT
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State | CA
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Zip | 90723-4730
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Country | US
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Telephone | 562-307-1132
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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